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General NPI Number Information
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NPI Number | 1770105843
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Entity Type | Organization
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Legal Business Name | FAY, FAY AND STEVENS INC.
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 1201 THOMASON LN
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City | ALTURAS
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State | CA
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Zip | 96101-3150
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Country | US
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Telephone | 530-233-2020
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Fax | 530-233-5430
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Provider Business Mailing Address
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Address Line | 2640 BIEHN ST STE 3
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-1181
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Country | US
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Telephone | 541-810-6432
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Fax | 541-833-5264
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Authorized Official
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Title or Position | INSURANCE BILLING MANAGER
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Name | ERIN DOLEZAL
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Credential |
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Telephone | 541-810-6432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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